D43
Non-Billable

Neoplasm of uncertain behavior of brain and central nervous system

Non-Billable / Non-Specific Code

What is Neoplasm of uncertain behavior of brain and central nervous system?

ICD-10-CM D43 is the diagnosis code for Neoplasm of uncertain behavior of brain and central nervous system. This code falls under the section "Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes" within Chapter 2 — Neoplasms (C00-D49). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for D43

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as D43. They are mutually exclusive:

  • neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system (D48.2)

ICD-10-CM Code Hierarchy

Understanding where D43 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeD43 — Neoplasm of uncertain behavior of brain and central nervous system
Sub-Codes 7 entries
D43.0Neoplasm of uncertain behavior of brain, supratentorialBillableD43.1Neoplasm of uncertain behavior of brain, infratentorialBillableD43.2Neoplasm of uncertain behavior of brain, unspecifiedBillableD43.3Neoplasm of uncertain behavior of cranial nervesBillableD43.4Neoplasm of uncertain behavior of spinal cordBillableD43.8Neoplasm of uncertain behavior of other specified parts of central nervous systemBillableD43.9Neoplasm of uncertain behavior of central nervous system, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is D43 a billable ICD-10-CM code?

No, D43 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does D43 mean?

D43 is the ICD-10-CM diagnosis code for "Neoplasm of uncertain behavior of brain and central nervous system". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is D43 in?

D43 is located in Section D37-D48 — "Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes" within Chapter 2 of the ICD-10-CM Tabular List.

What are the sub-codes of D43?

D43 has 7 sub-code(s) that provide more specific detail: D43.0, D43.1, D43.2, D43.3, D43.4 and more.

When should I use D43?

Use D43 when the patients documented diagnosis matches "Neoplasm of uncertain behavior of brain and central nervous system" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Neoplasm of uncertain behavior of brain and central nervous system?

The ICD-10-CM code for Neoplasm of uncertain behavior of brain and central nervous system is D43.

Can D43 be used for primary diagnosis?

No, D43 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is D43 in?

D43 is in Chapter 2 of the ICD-10-CM Tabular List.

What conditions are excluded from D43?

Type 1 Excludes for D43 include: neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system (D48.2).

Is D43 valid for 2026?

Yes, D43 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousD42.9Neoplasm of uncertain behavior of meninges, unspecifiedNext →D43.0Neoplasm of uncertain behavior of brain, supratentorial
Code Details
D43
Neoplasm of uncertain behavior of brain and central nervous system
Non-Billable / Non-Specific Code
2 — Neoplasms (C00-D49)
D37-D48 — Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes
2026 ICD-10-CM